Sepsis-associated Guillain-Barre syndrome

被引:1
作者
Rehberg, S. [1 ]
Freise, H. [1 ]
Young, P. [2 ]
Ertmer, C. [1 ]
Ellger, B. [1 ]
Van Aken, H. [1 ]
Westphal, M. [1 ]
机构
[1] Univ Klinikum Munster, Klin & Poliklin Anasthesiol & Operat Intens Med, D-48149 Munster, Germany
[2] Univ Klinikum Munster, Klin & Poliklin Neurol, D-48149 Munster, Germany
来源
ANAESTHESIST | 2009年 / 58卷 / 02期
关键词
Guillain-Barre syndrome; Quadriplegia; Sepsis; Multiple trauma; Intensive care medicine; HEAD TRAUMA; MANAGEMENT;
D O I
10.1007/s00101-008-1471-2
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This article reports on the case of a multiple trauma patient, who was admitted to the intensive care unit with haemorrhagic shock and severe hypoxaemia. Following posttraumatic septic shock the patient developed quadriplegia 3 weeks after admittance. After having excluded any traumatic and cerebral origins, an analysis of the cerebrospinal fluid was performed and revealed a "dissociation albuminocytologique". This finding in association with limb quadriplegia led to the diagnosis of Guillain-Barre syndrome. Therapy with high-dose i.v. immunoglobulins led to a complete recovery.
引用
收藏
页码:153 / 155
页数:3
相关论文
共 12 条
  • [1] Infection-associated encephalopathies - their investigation, diagnosis, and treatment
    Davies, Nicholas W. S.
    Sharief, Mohammad K.
    Howard, Robin S.
    [J]. JOURNAL OF NEUROLOGY, 2006, 253 (07) : 833 - 845
  • [2] Guillain-Barre syndrome and head trauma - Case report
    DeFreitas, GR
    DeFreitas, MRG
    Ferreira, MCL
    [J]. ARQUIVOS DE NEURO-PSIQUIATRIA, 1997, 55 (02) : 315 - 318
  • [3] GUILLAIN-BARRE-SYNDROME FOLLOWING ACUTE HEAD TRAUMA
    DUNCAN, R
    KENNEDY, PGE
    [J]. POSTGRADUATE MEDICAL JOURNAL, 1987, 63 (740) : 479 - 480
  • [4] Guillain-Barre syndrome in an intensive care unit
    Fernández-Ortega, JF
    de Rojas-Román, JP
    Núñez-Castain, MJ
    Miralles-Martín, E
    Bravo-Utrera, M
    [J]. REVISTA DE NEUROLOGIA, 2001, 33 (04) : 318 - 324
  • [5] Guillain-Barre syndrome
    Hughes, RAC
    Cornblath, DR
    [J]. LANCET, 2005, 366 (9497) : 1653 - 1666
  • [6] Immunotherapy for Guillain-Barre syndrome:: a systematic review
    Hughes, Richard A. C.
    Swan, Anthony V.
    Raphael, Jean-Claude
    Annane, Djillali
    van Koningsveld, Rinske
    van Doorn, Pieter A.
    [J]. BRAIN, 2007, 130 : 2245 - 2257
  • [7] INTENSIVE MANAGEMENT AND TREATMENT OF SEVERE GUILLAIN-BARRE-SYNDROME
    HUND, EF
    BOREL, CO
    CORNBLATH, DR
    HANLEY, DF
    MCKHANN, GM
    [J]. CRITICAL CARE MEDICINE, 1993, 21 (03) : 433 - 446
  • [8] Long-term outcome of Guillain-Barre syndrome
    Koeppen, S.
    Kraywinkel, K.
    Wessendorf, T. E.
    Ehrenfeld, C. E.
    Schuerks, M.
    Diener, H. C.
    Weimar, C.
    [J]. NEUROCRITICAL CARE, 2006, 5 (03) : 235 - 242
  • [9] Guillain-Barre syndrome - Epidemiology, pathophysiology and management
    Kuwabara, S
    [J]. DRUGS, 2004, 64 (06) : 597 - 610
  • [10] Campylobacter jejuni bacteremia and Guillain-Barre syndrome in a renal transplant recipient
    Maccario, M
    Tarantino, A
    Nobile-Orazio, E
    Ponticelli, C
    [J]. TRANSPLANT INTERNATIONAL, 1998, 11 (06) : 439 - 442